Second Phone/Emergency: ______________________________________________

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* This is a FUN RECREATIONAL League consisting of a wide variety of skills and experience. We will work on strengthening skills and learning the game. We will insist on an environment of good role models and Positive peer pressure. We will work to build individuals of this basketball community UP, through exercise, discipline, coaching, mentoring and our common interest of basketball.

* Individuals will be given ONE CHANCE and one chance alone. There will be no name calling, walking off the court, swearing or disrespect of any kind to anyone. We are not perfect, but in the interest of keeping this fun for everyone, we can not and will not tolerate unsportsmanlike behavior. We will expel players from the league with no monetary refund for offensive behavior to another player, coach or referee. __________ INITIAL HERE!!!!

* Attendance is crucial to the progression of learning and playing the game, not only for your child but everyone on the team. Excessive absences will have consequences including but not limited to suspensions. If you foresee an attendance issue, we suggest you wait for another season where it would not be an issue.

* ONE Shirt will be provided. If you loose it, there is a $12 re-order fee. OR you may wear a PLAIN, SAME Colored Shirt in place of it. It will NEED to be the SAME color and have NO WORDS/Pictures on it. Additional shirts may be ordered now for $8.

X ___________________________________________ _____________________

I have read and understand the above statements date

$15 1st child and $10 each additional is due at time of registration. Must be a city resident. Again… Players must wear the shirt provided or a “Hanes” style PLAIN t-shirt in the same color. No one shows up to football games in the shirt they “feel like” wearing. In the past we have been lenient, this year there will be game time consequences.

Woonsocket Parks & Recreation

RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT

_Summer Basketball/Soccer/Track Leagues_

Activity/Program Name

I agree to the use of my child’s name or likeness including photos or videos for public promotion of the Woonsocket Parks and Recreation Department and its programs. I am permitting that these photos/videos be used in newspaper articles, department displays and advertising etc.

Circle one: Yes or No Initial _________

I hereby agree to permit my child to participate in the above program sponsored by the Woonsocket Parks & Recreation Department, its officers, directors, employers, employees and agents (herein collectively called “The City”) upon the understanding that:

My child is being treated for a medical condition: Yes______ No _______

If yes, please explain ___________________________________________

_____________________________________________________________

I acknowledge that I have consulted with my child’s physician and that my child is physically capable of such participation.

Initial _________

In Registering for the this city activity/program listed above, I hereby WAIVE, RELEASE and DISCHARGE any and all claims for damages for death, personal injury or property damage which I have or may have as a result of participating in said activity/program. This release is intended to discharge the City of Woonsocket, the City Council, the Parks & Recreation Department, officers, agents and employees from and against any and all liability arising from or connected with my child’s participation in said activity/program.

Initial _________

I have registered my child for said activity/program with the full understanding that there are physical risks and dangers in participating. Nevertheless, I voluntarily agree to assume any and all injury and/or death, and to release, discharge and hold harmless all of the entities mentioned above. It is understood and agreed that this waiver is binding and assumption of risk is to be binding on my heirs, personal representatives, next of kin, spouse and assigns.